Differential Diagnosis Between Intracranial Dissemination of Spinal Cord Astrocytoma and Paraneoplastic Limbic Encephalitis
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概要
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We describe the clinical features of limbic encephalitis that developed after palliative spinal cordotomy in 2 patients with malignant thoracic astrocytoma. Both patients showed short-term memory loss, hallucinations of smells and psychiatric symptoms. Brain MRI on T2-weighted and fluid-attenuated inversion recovery sequences revealed high intensity lesions in bilateral temporal lobe areas. We considered that both patients had paraneoplastic limbic encephalitis associated with astrocytoma because of various clinical and radiological features. But the possibility of intracranial dissemination of astrocytoma could not be fully excluded. The differential diagnosis between intracranial dissemination of spinal cord astrocytoma and paraneoplastic limbic encephalitis may be sometimes difficult.
著者
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Suzuki Norihiro
Department Of Dermatology Okayama University Graduate School Of Medicine Dentistry And Phartmaceutic
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Nakamura Masaya
Department Of Applied Microbiology Forestry And Forest Products Research Institute
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Toyama Yoshiaki
Department Of Orthopaedic Surgery Keio University
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Ishii Ken
Department Of Dermatology Keio University School Of Medicine
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Izawa Yoshikane
Department Of Neurology Keio University School Of Medicine
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Takahashi Shinichi
Department of Neurology, School of Medicine, Keio University, Japan
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Suzuki Norihiro
Department of Neurology, School of Medicine, Keio University, Japan
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TAKAHASHI Shinichi
Department of Electrical Engineering, Keio University
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Suzuki Shigeaki
Department of Neurology, School of Medicine, Keio University, Japan
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Suzuki Shigeaki
Department of Chemical Engineering, Tokyo Institute of Technology
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Seki Morinobu
Department of Neurology, School of Medicine, Keio University, Japan
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